Organization
AV HEALING HANDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE LYNETTE VAILES (OWNER)
(240) 375-1670
Entity
Organization
Contact information
Practice address
7307 BALTIMORE AVE STE 108B, COLLEGE PARK, MD 20740-3231
(240) 375-1670
(202) 946-5904
Mailing address
7307 BALTIMORE AVE STE 108B, COLLEGE PARK, MD 20740-3231
(240) 375-1670
(202) 946-4923
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
08/03/2024
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